Organization
AIETAH STEPHENS
Active
Other names
HOPE Pediatric
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIETAH LYNN STEPHENS MS (OWNER)
(405) 684-8837
Entity
Organization
Contact information
Practice address
5001 KATELYN, MUSTANG, OK 73064-7249
(405) 684-8837
Mailing address
5001 KATELYN LANE, MUSTANG, OK 73064
(405) 684-8837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
592515
OK
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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